MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC (NPI# 1811595192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811595192 |
| Entity Type | Organization |
| Organization Name | MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC |
| Practice Address |
314 S Wells St Sistersville WV 26175-1098 |
| Mailing Address |
Dba Sistersville General Hospital C/o Paul Westbrock 314 S Wells St Sistersville WV 26175 |
| Practice Telephone | 3046522611 |
| Mailing Telephone | 7403741581 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | PAUL G WESTBROCK (VP, LEGAL AFFIARS) |
| Authorized Official Telephone | 7403741581 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| Other Name | Type Code |
|---|---|
| Sistersville General Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768197 | Marietta Memorial Hospital of Tyler County Inc | Ambulance | 242 Oxford St, Sistersville, WV 26175-1029 | 2020-10-23 |
| 1508465162 | Marietta Memorial Hospital of Tyler County Inc | Clinic/Center | 100 Fair St, Middlebourne, WV 26149-9525 | 2020-10-23 |
| 1598364168 | Marietta Memorial Hospital of Tyler County Inc | Clinic/Center | 305 Clay St, Sistersville, WV 26175-1059 | 2020-10-23 |
| 1245839802 | Marietta Memorial Hospital of Tyler County Inc | Hospice Care, Community Based | 314 S Wells St, Sistersville, WV 26175-1098 | 2020-10-23 |
| 1437758034 | Marietta Memorial Hospital of Tyler County Inc | Clinic/Center | 201 2nd St, Saint Marys, WV 26170-1003 | 2020-10-23 |
| 1730788399 | Marietta Memorial Hospital of Tyler County Inc | Medicare Defined Swing Bed Unit | 314 S Wells St, Sistersville, WV 26175-1098 | 2020-10-23 |
| Street Address |
314 S WELLS ST |
| City | SISTERSVILLE |
| State | WV |
| Zip Code | 26175-1098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495335 | City of Sistersville | General Acute Care Hospital | 314 S Wells St, Sistersville, WV 26175-1098 | 2005-05-27 |
| 1245839802 | Marietta Memorial Hospital of Tyler County Inc | Hospice Care, Community Based | 314 S Wells St, Sistersville, WV 26175-1098 | 2020-10-23 |
| 1730788399 | Marietta Memorial Hospital of Tyler County Inc | Medicare Defined Swing Bed Unit | 314 S Wells St, Sistersville, WV 26175-1098 | 2020-10-23 |
| 1205217833 | Alisha Placer | Nurse Practitioner | 314 S Wells St, Sistersville, WV 26175-1098 | 2015-06-09 |
| 1568616605 | City of Sistersville | Clinic/Center | 314 S Wells St, Sistersville, WV 26175-1098 | 2008-11-14 |
| 1508996174 | Matthew J Godlewski | Internal Medicine | 314 S Wells St, Sistersville, WV 26175-1098 | 2007-03-06 |
| 1194829374 | City of Sistersville | Medicare Defined Swing Bed Unit | 314 S Wells St, Sistersville, WV 26175-1098 | 2006-09-11 |
| 1174510861 | Ramon H Fagundo | Emergency Medicine | 314 S Wells St, Sistersville, WV 26175-1098 | 2005-09-29 |
| 1720074768 | William A Martin | Emergency Medicine | 314 S Wells St, Sistersville, WV 26175-1098 | 2005-09-26 |
| 1588650782 | Saed A Ahmad | Internal Medicine | 314 S Wells St, Sistersville, WV 26175-1098 | 2005-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305413 | Devin Michael Blair | Technician | 218 Russell Avenue, Sistersville, WV 26175 | 2020-08-07 |
| 1710203419 | City of Sistersville | Clinic/Center | 305 Clay St, Sistersville, WV 26175 | 2010-04-20 |
| 1659475812 | City of Sistersville | Hospice Care, Community Based | 314 South Wells Street, Sistersville, WV 26175 | 2006-09-11 |
| 1356469225 | Genesis Rehab Services | Physical Therapist | 201 Wood St, Sistersville, WV 26175 | 2007-03-27 |
| 1730625542 | Sistersville Volunteer Fire Department | Ambulance | 121 Maple Ln, Sistersville, WV 26175-1024 | 2017-01-18 |
| 1538263942 | City of Sistersville | Ambulance | 242 Oxford St, Sistersville, WV 26175-1029 | 2006-09-08 |
| 1538768197 | Marietta Memorial Hospital of Tyler County Inc | Ambulance | 242 Oxford St, Sistersville, WV 26175-1029 | 2020-10-23 |
| 1598364168 | Marietta Memorial Hospital of Tyler County Inc | Clinic/Center | 305 Clay St, Sistersville, WV 26175-1059 | 2020-10-23 |
| 1336363878 | Keith Allen Milhoan | Dentist | 210 Charles St, Sistersville, WV 26175-1202 | 2007-04-13 |
| 1972664043 | Phillips Drug LLC | Pharmacy | 615 Wells St, Sistersville, WV 26175-1323 | 2006-12-13 |
| Find all providers in zip 26175 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495335 | City of Sistersville | General Acute Care Hospital | 314 S Wells St, Sistersville, WV 26175-1098 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922295062 | Broaddus Hospital Group | General Acute Care Hospital | #1 Health Care Drive, Philippi, WV 26416 | 2007-10-03 |
| 1518164037 | Charleston Area Medical Center | General Acute Care Hospital | 3110 Maccorkle Avenue Se, Charleston, WV 25304 | 2007-06-28 |
| 1427189661 | Charleston Area Medical Center | General Acute Care Hospital | 1694 Mount Alpha Rd, Charleston, WV 25304-2731 | 2007-03-08 |
| 1396827424 | Providence Health Care | General Acute Care Hospital | E 1015 'd' Street, Deer Park, WV 99006-0742 | 2006-10-19 |
| 1891722377 | Jefferson Memorial Hospital | General Acute Care Hospital | 300 S. Preston Street, Ranson, WV 25438-1631 | 2006-06-28 |
| 1356304547 | Braxton County Memorial Hospital | General Acute Care Hospital | 100 Hoylman Dr, Gassaway, WV 26624-9321 | 2006-04-10 |
| 1457326241 | Hampshire Memorial Hospital, Inc | General Acute Care Hospital | 549 Center Ave, Romney, WV 26757-1352 | 2006-02-23 |
| 1912979873 | Potomac Valley Hospital of W Va, Inc | General Acute Care Hospital | 100 Pin Oak Ln, Keyser, WV 26726-5908 | 2006-02-06 |
| 1548246622 | Broaddus Hospital Association, Inc. | General Acute Care Hospital | #1 Healthcare Drive, Mansfield Hill, Philippi, WV 26416 | 2005-12-20 |
| 1689664179 | Appalachian Regional Healthcare, Inc. | General Acute Care Hospital | 115 Summers Hospital Road, Hinton, WV 25951 | 2005-10-26 |
| Find all providers with the same taxonomy | ||||
| City | SISTERSVILLE |
| Zip Code | 26175 |
Please comment or provide details below to improve the information on MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.